Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $199.53 / $537.03	Facility		$45.71	$199.53	$537.03
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $57.54 / $169.82	Facility	26	$28.18	$57.54	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $204.17	Professional		$41.69	$87.10	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $47.86 / $181.97	Professional	26	$25.12	$47.86	$181.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $158.49 / $354.81	Professional	50	$81.28	$158.49	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $22.91 / $64.57	Professional	TC	$14.13	$22.91	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $102.33 / $346.74	Facility		$39.81	$102.33	$346.74
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	26	$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $173.78	Professional		$53.70	$91.20	$173.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $50.12 / $89.13	Professional	26	$29.51	$50.12	$89.13
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $123.03 / $251.19	Professional	50	$81.28	$123.03	$251.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $89.13	Professional	TC	$22.39	$38.02	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $114.82 / $389.05	Facility		$37.15	$114.82	$389.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $38.90 / $97.72	Facility	26	$7.24	$38.90	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $181.97	Professional		$44.67	$97.72	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $53.70 / $95.50	Professional	26	$26.92	$53.70	$95.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $38.90 / $87.10	Professional	TC	$16.60	$38.90	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $134.90 / $309.03	Facility		$46.77	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $144.54	Professional		$45.71	$75.86	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $77.62	Professional	26	$27.54	$42.66	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $32.36 / $69.18	Professional	TC	$17.78	$32.36	$69.18